Provider Demographics
NPI:1922329812
Name:MCMINNVILLE PSYCHIATRIC ASSOCIOATES, P.C.
Entity Type:Organization
Organization Name:MCMINNVILLE PSYCHIATRIC ASSOCIOATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:WEINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:971-241-8963
Mailing Address - Street 1:309 NE 3RD ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:MCMINNVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97128-4730
Mailing Address - Country:US
Mailing Address - Phone:503-472-3705
Mailing Address - Fax:503-472-3705
Practice Address - Street 1:309 NE 3RD ST
Practice Address - Street 2:SUITE 6
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-4730
Practice Address - Country:US
Practice Address - Phone:503-472-3705
Practice Address - Fax:503-472-3705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-15
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty